Radiation Safety Flashcards

Dr. Edwards

1
Q

Biological Effects of ionizing radiation

A

Energy from radiation knocks electrons out of the orbit, creating reactive elements in the body

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2
Q

Critical Target of Ionizing Radiation

A

DNA- blueprints for everything!!

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3
Q

Direct Effect

A

Ionization and destruction of DNA

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4
Q

Indirect Effect

A

production of free radicals that can then diffuse far enough to reach and damage the critical target (dna, rna, proteins)

MOST COMMON

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5
Q

How does x-ray cause biologic damage

A

can use genetic problems, cancer
damage to DNA is critical
Stem cells, young tissue

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6
Q

Radiosensitivity

A

The relative susceptibility of cells, tissues, and organs to harmful action of ionizing radiation

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7
Q

Radiosensitivity of Cells and Tissue Types

A

Stem cells are MORE radiosensitive than mature cells
Young tissue is MORE radiosensitive than old cells
Tissues with HIGH metabolic is MORE rariosensitive then low activity

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8
Q

Basic Principles of Radiation Safety

A

ALARA: As Low as Reasonably Achievable
1. Distance: Maximize distance from source (I=1/d2)
2. Time: minimize time of exposure. Limit retakes, minimize holding patients
3. Shielding: lead aprons, gloves, thyroid shields that protect from scatter beams (NOT the direct beam)

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9
Q

Maximum Permissible Dose of radiation

A

Whole body= 5,000 mrem/year

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10
Q

5 elements of X-ray Control Panel

A

mA Selector-
Focal Spot Selector -
Timer (msec)
mAs Selector (mA x time (msec))
kVp selector

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11
Q

Steps in producing X-ray

A
  1. Prep: electrons generated through electrical current in the filament of the cathode
  2. Expose: x-rays produced when electrons interact with metal in the anode
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12
Q

mA Selector

A

Controls quantity of x-rays
mAs= mA x time

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13
Q

Focal Spot Selector

A

***Controls resolution of image (quality)
Large Focal Spot: less detail or resolution
Small Focal Spot: more detail, needed for small areas such as the carpus

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14
Q

kVp Selector

A

Controls contrast of the image AND influences number of x-rays
Voltage across the x-ray tube
Higher voltage= higher e- speed= harder they hit the anode= higher beam energy

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15
Q

Spacial Resolution

A

ability to see 2 objects that are close together as being separate

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16
Q

Scatter Radiation

A

Beams that are partially absorbed by the body and then scattered into a different direction
Greater body area exposed = more scatter

17
Q

Collimators

A

restrict beams to confined regions (usually illuminated to reduce scatter and increase contract

18
Q

Grids

A

Prevent scatter from reaching the film

19
Q

Film Vs Digital

A

Film: superior spatial resolution
Digital: Allows for contrast adjust which out weights benefit of spatial resolution

20
Q

Radiographic opacities

A

Metal: Highest Attenuation- absorbs the most radiation
Bone
Soft Tissue
Fat
Air: lowest attenuation- absorbs no radiation

21
Q

Degree of Attenuation

A

depends on the subject opacity and the thickness of the object (ex: small sliver of metal may have same degree of attenuation as a large portion of soft tissue

22
Q

Summation Effect

A

two objects superimposed over each other have an overlapping portion that appears more opaque
(Think venn diagram)

23
Q

Silhouetting Effects (Boarder Effacement)

A

two objects of the same subject density are in contact and appear blended together
Ex: abdominal effusion (fluid and organs have the same density so no definition can be seen)

24
Q

Magnification

A

enlargement of an image relative to its actual size

25
Q

Distortion

A

Unequal magnification
happens when an object is not in line with the center of the beam

26
Q

Motion

A

causes loss of spatial resolution
DECREASED with DECREASED exposure time

27
Q

Radiograph Orientation

A

position cranial on left side of image and caudal on right side of image for laterals

Right is on your left and left is on your right VD/DV

28
Q

How to various types of electromagnetic radiation differ?

A

wavelength and energy. As wavelength decreases, energy increases.

29
Q

Unique properties of x-ray

A

energy to penetrate matter.
direct engirt - breaking DNA strands
indirect- cree radicals from water into body

30
Q

What determines radioactivity

A

varies with maturation and metabolism

immature cells -> more radiosentive
cells with higher metabolic rates are more sensitive

31
Q

What is the fundamental difference in the shadow created by an x-ray beam versus a shadow
created by visible light?

A

visible light creates a show that outlines the outside of the object.

Xray can penetrate the object, creating multiple inter shadows all superimposed creating 2D images of internal structures

32
Q

Role of collimator

A

restricts or limits size of x-ray beam

33
Q

how does collimator improve the image

A

decreases scatter radiation

34
Q

what is the role of the grid

A

limits the most of Carter radiation that reaches the detector of film

IMPORTANT FOR TEST

35
Q

Which image would have been taken with a grid (A or B)

A

Image A would have been taken with the gird. Note the higher contrast of image A.

36
Q

How do traditional film screen systems create a radiographic Image?

A

The function of the screens is to convert x-ray energy into visible light. It is the light
that exposes the film.

37
Q

What are the 5 basic tissues densities seen on a radiograph?

A

Metal, bone, soft tissue, fat, air

38
Q

Why is it important of have the area of interest centered in the x-ray beam?

A

The central portion of the x-ray beams is essentially perpendicular and there is little distortion,
where as the peripheral region of the x-ray beam diverges which can produce distortion.

39
Q

Distance

A

Maximize your distance from radiation source

THE INVERSE SQUARE LAW!!!

Double the distance from the source will reduce exposure by 1/4